SMITH HULSEY & BUSEY 401(K) PROFIT SHARING PLAN
|
2019
|
592100518
|
2020-10-09
|
SMITH HULSEY & BUSEY, PROFESSIONAL ASSOCIATION
|
76
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1981-07-01
|
Business code |
541110
|
Sponsor’s telephone number |
9043597700
|
Plan sponsor’s
address |
ONE INDEPENDENT DRIVE, SUITE 3300, JACKSONVILLE, FL, 32202
|
Signature of
Role |
Plan administrator |
Date |
2020-10-09 |
Name of individual signing |
JEAN BUSEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-10-09 |
Name of individual signing |
JEAN BUSEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SMITH HULSEY & BUSEY 401(K) PROFIT SHARING PLAN
|
2018
|
592100518
|
2019-09-26
|
SMITH HULSEY & BUSEY, PROFESSIONAL ASSOCIATION
|
73
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1981-07-01
|
Business code |
541110
|
Sponsor’s telephone number |
9043597700
|
Plan sponsor’s
address |
ONE INDEPENDENT DRIVE, SUITE 3300, JACKSONVILLE, FL, 32202
|
Signature of
Role |
Plan administrator |
Date |
2019-09-26 |
Name of individual signing |
JEAN BUSEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-09-26 |
Name of individual signing |
JEAN BUSEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SMITH HULSEY & BUSEY 401(K) PROFIT SHARING PLAN
|
2017
|
592100518
|
2018-11-14
|
SMITH HULSEY & BUSEY, PROFESSIONAL ASSOCIATION
|
82
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1981-07-01
|
Business code |
541110
|
Sponsor’s telephone number |
9043597700
|
Plan sponsor’s
address |
ONE INDEPENDENT DRIVE, SUITE 3300, JACKSONVILLE, FL, 32202
|
Signature of
Role |
Plan administrator |
Date |
2018-11-14 |
Name of individual signing |
JEAN BUSEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-11-14 |
Name of individual signing |
JEAN BUSEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SMITH HULSEY & BUSEY 401(K) PROFIT SHARING PLAN
|
2016
|
592100518
|
2017-11-15
|
SMITH HULSEY & BUSEY, PROFESSIONAL ASSOCIATION
|
88
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1981-07-01
|
Business code |
541110
|
Sponsor’s telephone number |
9043597700
|
Plan sponsor’s
address |
225 WATER STREET, 1800 TOWER, JACKSONVILLE, FL, 32202
|
Signature of
Role |
Plan administrator |
Date |
2017-11-15 |
Name of individual signing |
JEAN BUSEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-11-15 |
Name of individual signing |
JEAN BUSEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SMITH HULSEY & BUSEY 401(K) PROFIT SHARING PLAN
|
2015
|
592100518
|
2016-11-15
|
SMITH HULSEY & BUSEY, PROFESSIONAL ASSOCIATION
|
94
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1981-07-01
|
Business code |
541110
|
Sponsor’s telephone number |
9043597700
|
Plan sponsor’s
address |
225 WATER STREET, 1800 TOWER, JACKSONVILLE, FL, 32202
|
Signature of
Role |
Plan administrator |
Date |
2016-11-15 |
Name of individual signing |
JEAN BUSEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-11-15 |
Name of individual signing |
JEAN BUSEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SMITH HULSEY & BUSEY 401(K) PROFIT SHARING PLAN
|
2014
|
592100518
|
2015-11-16
|
SMITH HULSEY & BUSEY, PROFESSIONAL ASSOCIATION
|
103
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1981-07-01
|
Business code |
541110
|
Sponsor’s telephone number |
9043597700
|
Plan sponsor’s
address |
225 WATER STREET, 1800 TOWER, JACKSONVILLE, FL, 32202
|
Signature of
Role |
Plan administrator |
Date |
2015-11-16 |
Name of individual signing |
JEAN BUSEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-11-16 |
Name of individual signing |
JEAN BUSEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SMITH HULSEY & BUSEY 401(K) PROFIT SHARING PLAN
|
2013
|
592100518
|
2014-11-13
|
SMITH HULSEY & BUSEY, PROFESSIONAL ASSOCIATION
|
109
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1981-07-01
|
Business code |
541110
|
Sponsor’s telephone number |
9043597700
|
Plan sponsor’s
address |
225 WATER STREET, 1800 TOWER, JACKSONVILLE, FL, 32202
|
Signature of
Role |
Plan administrator |
Date |
2014-11-13 |
Name of individual signing |
JEAN JOHNSTON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-11-13 |
Name of individual signing |
JEAN JOHNSTON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SMITH HULSEY & BUSEY 401(K) PROFIT SHARING PLAN
|
2012
|
592100518
|
2013-11-15
|
SMITH HULSEY & BUSEY, PROFESSIONAL ASSOCIATION
|
106
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1981-07-01
|
Business code |
541110
|
Sponsor’s telephone number |
9043597700
|
Plan sponsor’s
address |
225 WATER STREET, 1800 WACHOVIA TOWER, JACKSONVILLE, FL, 32202
|
Signature of
Role |
Plan administrator |
Date |
2013-11-15 |
Name of individual signing |
JEAN JOHNSTON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-11-15 |
Name of individual signing |
JEAN JOHNSTON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SMITH HULSEY & BUSEY 401(K) PROFIT SHARING PLAN
|
2011
|
592100518
|
2012-11-15
|
SMITH HULSEY & BUSEY, PROFESSIONAL ASSOCIATION
|
101
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1981-07-01
|
Business code |
541110
|
Sponsor’s telephone number |
9043597700
|
Plan sponsor’s
address |
225 WATER STREET, 1800 WACHOVIA TOWER, JACKSONVILLE, FL, 32202
|
Plan administrator’s name and address
Administrator’s EIN |
592100518 |
Plan administrator’s name |
SMITH HULSEY & BUSEY, PROFESSIONAL ASSOCIATION |
Plan administrator’s
address |
225 WATER STREET, 1800 WACHOVIA TOWER, JACKSONVILLE, FL, 32202 |
Administrator’s telephone number |
9043597700 |
Signature of
Role |
Plan administrator |
Date |
2012-11-15 |
Name of individual signing |
JEAN JOHNSTON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-11-15 |
Name of individual signing |
JEAN JOHNSTON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SMITH HULSEY & BUSEY 401(K) PROFIT SHARING PLAN
|
2010
|
592100518
|
2011-11-15
|
SMITH HULSEY & BUSEY, PROFESSIONAL ASSOCIATION
|
92
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1981-07-01
|
Business code |
541110
|
Sponsor’s telephone number |
9043597700
|
Plan sponsor’s
address |
225 WATER STREET, 1800 WACHOVIA TOWER, JACKSONVILLE, FL, 32202
|
Plan administrator’s name and address
Administrator’s EIN |
592100518 |
Plan administrator’s name |
SMITH HULSEY & BUSEY, PROFESSIONAL ASSOCIATION |
Plan administrator’s
address |
225 WATER STREET, 1800 WACHOVIA TOWER, JACKSONVILLE, FL, 32202 |
Administrator’s telephone number |
9043597700 |
Signature of
Role |
Plan administrator |
Date |
2011-11-15 |
Name of individual signing |
JEAN M. JOHNSTON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-11-15 |
Name of individual signing |
JEAN M. JOHNSTON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|